Left main and multivessel disease

Find all the latest content on left main and multivessel disease published on this website.

The left main coronary artery provides the primary source of blood flow to the left ventricle. Diseases affecting the left main, by itself or in combination with multivessel disease, place the patient at significant risk for life-threatening cardiovascular events. Treatment requires an understanding of all available tools, devices and techniques, like those employed in invasive imaging and functional assessment, as well as taking into account underlying comorbidities such as diabetes. Advances in imaging techniques, as well as the use of adjunctive pharmacotherapy, vascular access or invasive interventions such as bypass surgery, are important, as are understanding bleeding risks. Use the filters below to access PCRonline resources.

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Left main and multivessel disease

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Focus on challenges and complications of left main PCI

22 May 2019 – From EuroPCR 2019

Consult this session on challenges and complications of left main PCI to learn more about left main occlusion and pseudoaneurysm, left main complication in TAVI, the importance of thoroughly checking left main PCI result at the end of the procedure, and more!

Focus on challenges and complications of left main PCI

Intracoronary imaging for left main PCI

22 May 2019 – From EuroPCR 2019

Consult this session to learn more about how to use intracoronary imaging for left main PCI, thanks to a selection of compelling cases: triple coronary artery disease in a patient with Kyphoscoliosis, left main stem to left anterior descending PCI with self-apposing stent, and more!

Intracoronary imaging for left main PCI

This case would have been different without intracoronary imaging

22 May 2019 – From EuroPCR 2019

Consult this session to discover compelling clinical cases where intracoronary imaging was very useful to treat it efficiently, and learn more about its role in ACS, PCI, CTO, and more!

This case would have been different without intracoronary imaging

Technical tips and tricks to overcome challenging left main scenarios

22 May 2019 – From EuroPCR 2019

Consult this session to learn various technical tips and tricks to overcome challenging left main scenarios, such as floating wire, modified kissing-stenting, and more!

Technical tips and tricks to overcome challenging left main scenarios

Practical aspects of left main trifurcation PCI

21 May 2019 – From EuroPCR 2019

Consult this session on the practical aspects of left main trifurcation PCI to learn more about how to select patients suitable for this procedure, the appropriate stenting techniques, but also valuable tips and tricks in order to achieve an optimal outcome.

Practical aspects of

All you need to know about physiological assessment of coronary artery disease

21 May 2019 – From EuroPCR 2019

Consult this session to learn all about the physiological assessment of coronary artery disease, thanks to a comprehensive and clinically relevant update on this field and to an identification of the current guidelines and recommendations, leading to further questions that will need to be addressed in the...

All you need to know about physiological assessment of coronary artery disease

Complex left main PCI

21 May 2019 – From EuroPCR 2019

Consult this session to discover complex left main PCI cases, such as a fractured guide wire and deformed stent in left main stem, an in-stent restenosis of first-generation stent in left main, and more!

Complex left main PCI

Impact of large periprocedural myocardial infarction on mortality after PCI and coronary artery bypass grafting for left main disease

17 Apr 2019

An analysis from the EXCEL trial

Elad Asher

Reviewer

Elad Asher

Reviewer

Salvatore Brugaletta
Impact of large periprocedural myocardial infarction on mortality after PCI and coronary artery bypass grafting for left main disease

How should I treat an iatrogenic left main dissection?

01 Apr 2019

A 72-year-old gentleman with previous history of primary percutaneous coronary intervention to the right coronary artery in December 2017 and moderate left ventricular dysfunction presented with stable angina in November 2018...

How should I treat an iatrogenic left main dissection?

Case study: primary PCI of left main coronary artery to LAD stenting with retrieval of broken NC balloon shaft

12 Mar 2019

Consult this clinical case by K. Partani on primary PCI of left main coronary artery (LMCA) to LAD stenting with retrieval of broken NC balloon shaft, a 53-year-old female patient.

Author

Kaustubh Partani
Retrieval of broken NC balloon shaft